| NPI | 1851396022 |
|---|---|
| Doing Business As | GREAT LAKES HOME HEALTHCARE SERVICES PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KATHY DUBOWSKI President 814-877-6121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: PA 3000008117) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA 3000008117) |
| 335E00000X Prosthetic/Orthotic Supplier | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 22656) | |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2012-02-01 |